Doctor Name: | ADA I KERCADO |
NPI Number: | 1003041237 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED. |
License Number: | 1957 |
Business Practice Address: | Urb. Estancias De Yauco Calle Circonia M3 Yauco, PR - 006982749 |
Business Phone Number: | 7872674016 |
Business Fax Number: | 7872674016 |
Mailing Address: | Estancias De Yauco Calle Circonia M3, YAUCO |
State: | PR |
Postal Code: | 00698 |
Phone Number: | 7872674016 |
Fax Number: | 7872674016 |
NPI Enumeration Date: | 05/18/2009 |
NPI Last Update Date: | 05/18/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TS0200X |
License Number: | 1957 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | School |
Taxonomy Definition: |